Organization Active NPI

Frontier Healthcare Systems of Illinois

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1134573306
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FRONTIER HEALTHCARE SYSTEMS OF ILLINOIS
Practice address
8741 S Greenwood Suite 102
Chicago, IL 60619
Phone
(732) 340-3887
Fax
(773) 234-0394
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Letasha Y. LewisNPI 1033476080
Title
Ceo
Phone
(901) 283-4011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8741 S Greenwood Suite 102
Chicago, IL 60619

Mailing address

900 Ogden Ave # 335
Downers Grove, IL 60515-2829
Phone (732) 340-3887

Other identifiers 1

IdentifierTypeStateIssuer
81119538OtherILEIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address malunan@mbcservicesusa.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Frontier Healthcare Systems2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10615 S Halsted St
Chicago, IL 60628

8741 S Greenwood Ave
Ste 102
Chicago, IL 60619
Phone (732) 340-3887

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1134573306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OGDEN AVE # 335",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152829",
            "telephone_number": "732-340-3887",
            "fax_number": "773-234-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8741 S GREENWOOD SUITE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60619",
            "telephone_number": "732-340-3887",
            "fax_number": "773-234-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HEALTHCARE SYSTEMS OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LETASHA",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-283-4011"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "81119538",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "malunan@mbcservicesusa.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "malunan@mbcservicesusa.com",
            "address_1": "900 Ogden Ave # 335",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605152829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.